Michele Domico

Michele is a pediatric cardiac intensivist at Children’s Hospital of Orange County in California. She is lover of all things related to pediatric ECMO. As the medical director of the Cardiovascular Intensive Care Unit, she is dedicated and determined to teach pediatric and emergency medicine trainees about the wonderful world of pediatric heart disease. Michele is passionate about medical missions and does volunteer work with International Children’s Heart Foundation. In her spare time she can be found sleeping, traveling, or playing soccer (generally not all three at the same time).

Finding the Needle in the Haystack: Paediatric Cardiac Disease

There are several pediatric cardiac disease processes that get misdiagnosed because they present with other symptoms. No child comes in and says, “I have chest pain” or in any way alerts the Emergency Department providers to include some type of pediatric heart disease in the differential diagnosis. This talk will review the most commonly missed cardiac “zebras,” but that is not all. The presentation is meant to provide you with some helpful hints for when it is time to stray from the straight path and start entertaining a cardiac diagnosis in a sea of children complaining of respiratory, gastrointestinal and other symptoms.